CMS FOND DU LAC
NPI 1346620952
Clinic/Center - Methadone in Fond Du Lac, WI

Q: What is Premier Care Of Wisconsin, LLC.'s NPI number?

The NPI number for Premier Care Of Wisconsin, LLC. is 1346620952. It was assigned to this organization in the NPPES registry on June 9, 2015. The provider is doing business as Cms Fond Du Lac.

Q: What is Premier Care Of Wisconsin, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since June 09, 2015

23 W SCOTT ST, FOND DU LAC, WI 54935(920) 926-0101 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2024, Oct 20, 2021, Sep 30, 2021 and 4 more (7 updates tracked since 2019).

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About Cms Fond Du Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CMS FOND DU LAC (NPI 1346620952) is a healthcare organization registered as a methadone in Fond Du Lac, Wisconsin and active in the NPI registry since June 2015. The organization lists Cindy Gaither, Vp Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1346620952

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NamePREMIER CARE OF WISCONSIN, LLC.

Location Address23 W SCOTT STFond Du Lac, WI 54935-2342

Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (480) 687-7361

Phone(920) 926-0101

Organization SubpartNo

Authorized OfficialCindy GaitherVp Revenue Cycle Mgmt · (602) 248-8886

Enumeration DateJune 9, 2015

Last NPPES UpdateFebruary 10, 20247 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2024

✔ NPI 1346620952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 3075 (WI)

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

23 W SCOTT ST, Fond Du Lac, WI 54935

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Other Names 1

Doing Business AsCms Fond Du Lac

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE LISNEY

Registered Nurse (Addiction (Substance Use Disorder))